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[Organ-preserving resection of the pancreaticoduodenal region in the treatment of intraductal papillary mucinous tumors].
- Source :
-
Cirugia espanola [Cir Esp] 2006 Nov; Vol. 80 (5), pp. 295-300. - Publication Year :
- 2006
-
Abstract
- Introduction: The standard surgical procedure for intraductal papillary mucinous neoplasms of the main duct (IPMN-M) or side branch ducts (IPMN-Br) is pancreaticoduodenectomy. IPMN-BR is a more indolent disease with a lower incidence of malignancy.<br />Objective: To evaluate the usefulness of organ-preserving pancreatic resections (OPPR) including duodenum-preserving pancreatic head resection (DPHR) and pancreatic head resection with segmental duodenectomy (PHRSD) in patients with IPMN-BR.<br />Patients and Method: Surgical outcomes were evaluated in eight IPMN-Br patients: DPHR was performed in 4 patients and PHRSD was performed in 4 patients. In addition, 13 IPMN patients with Whipple resections were included in the analysis.<br />Results: The incidence of postoperative complications was 38% after Whipple resection, 100% after DPHR and 25% after PHRSD. The mean length of hospital stay was 27 days after DPHR, 22 days after Whipple resection and 16 days after PHRSD. Invasive IPMN was found in 38% of the patients in the Whipple group, and noninvasive IPMN was found in 100% of patients who underwent organ-preserving surgery.<br />Conclusions: Pancreaticoduodenectomy remains the treatment of choice in patients with invasive IPMN. PHRSD appears to be a useful procedure for IPMN-Br located in the head of the pancreas.
- Subjects :
- Adenocarcinoma, Mucinous pathology
Adenocarcinoma, Mucinous surgery
Adenocarcinoma, Papillary pathology
Adenocarcinoma, Papillary surgery
Aged
Carcinoma, Pancreatic Ductal pathology
Female
Humans
Length of Stay
Male
Middle Aged
Neoplasm Staging
Pancreas pathology
Pancreatic Neoplasms pathology
Pancreaticoduodenectomy adverse effects
Postoperative Complications
Treatment Outcome
Carcinoma, Pancreatic Ductal surgery
Pancreas surgery
Pancreatic Neoplasms surgery
Pancreaticoduodenectomy methods
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0009-739X
- Volume :
- 80
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cirugia espanola
- Publication Type :
- Academic Journal
- Accession number :
- 17192205
- Full Text :
- https://doi.org/10.1016/s0009-739x(06)70973-3